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v3.25.3

Segment Reporting - Schedule of Segment Revenue and Operating Income (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024
Segment Reporting Information [Line Items] |  |  |  |
Revenues | $ 821.5 | $ 770.4 | $ 2,423.7 | $ 2,249.9
Less: |  |  |  |
Salaries and benefits | 242.8 | 228.4 | 716.6 | 666.8
Supplies | 208.9 | 201.4 | 639.7 | 589.9
Professional and medical fees | 104.0 | 91.0 | 301.4 | 266.0
Lease expense | 21.5 | 23.9 | 65.2 | 67.5
Total operating expenses | 715.8 | 709.5 | 2,144.4 | 2,028.2
Reconciliation: |  |  |  |
Add back: Net income attributable to non-controlling interests | (48.0) | (38.1) | (132.8) | (118.7)
Unallocated amounts: |  |  |  |
General and administrative expenses | 22.4 | 29.2 | 94.5 | 102.7
Transaction and integration costs | 12.6 | 29.4 | 55.4 | 66.1
Depreciation and amortization | 39.5 | 50.2 | 116.1 | 118.7
Interest expense, net | (74.9) | (50.0) | (205.0) | (148.8)
Income before income taxes | 30.8 | 10.9 | 74.3 | 72.9
Surgical Facilities Segment |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenues | 821.5 | 770.4 | 2,423.7 | 2,249.9
Less: |  |  |  |
Salaries and benefits | 242.8 | 228.4 | 716.6 | 666.8
Supplies | 208.9 | 201.4 | 639.7 | 589.9
Professional and medical fees | 104.0 | 91.0 | 301.4 | 266.0
Lease expense | 21.5 | 23.9 | 65.2 | 67.5
Other segment items | 88.4 | 77.2 | 255.0 | 242.8
Total operating expenses | 665.6 | 621.9 | 1,977.9 | 1,833.0
Adjusted Surgical Facilities EBITDA | 155.9 | 148.5 | 445.8 | 416.9
Reconciliation: |  |  |  |
Add back: Net income attributable to non-controlling interests | (48.0) | (38.1) | (132.8) | (118.7)
Unallocated amounts: |  |  |  |
General and administrative expenses | 22.4 | 29.2 | 94.5 | 102.7
Transaction and integration costs | 12.6 | 29.4 | 55.4 | 66.1
Other corporate expenses | 23.7 | 16.9 | 33.3 | 26.4
Depreciation and amortization | 39.5 | 50.2 | 116.1 | 118.7
Interest expense, net | 74.9 | 50.0 | 205.0 | 148.8
Income before income taxes | $ 30.8 | $ 10.9 | $ 74.3 | $ 72.9

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